My Special Aflac Duck is a robotic companion created by Aflac and available to children age 3 and up who have been diagnosed with cancer. This comforting companion is available free-of-charge.
My Special Aflac Duck is only available to pediatric patients with cancer at the request of an authorized member of their healthcare team located at a licensed healthcare facility or by an organization/non-profit that serves pediatric cancer and sickle cell anemia patients. If you work at a licensed healthcare facility or organization/non-profit in the U.S. and would like to request authorization to order My Special Aflac Duck for pediatric cancer, please complete this form in its entirety. We'll notify you of your approval status within a week if we don't require additional information.If you would like to learn more about My Special Aflac Duck, please visit www.AflacChildhoodCancer.org
or email a member of our team - we'll be happy to answer your questions!
Buffy Swinehart - Sr. Manager, Corporate Social Responsibility - Aflac - [email protected]
Alayne Gamache - Manager, Corporate Social Responsibility - Aflac- [email protected]
Mandy Flynn - Manager, Corporate Social Responsibility - Aflac - [email protected]
My Special Aflac Duck is approved for children with cancer ages 3 and up. By submitting this form, you are stating that you are an employee of a licensed healthcare facility and have been authorized to order My Special Aflac Duck on behalf of childhood cancer patients being treated at your facility. You will be notified of your approval status within a week of submission if additional information is not required. Thank you. For additional information, please email us at [email protected] or visit http://www.AflacChildhoodCancer.org. Terms and Conditions Aflac herein means American Family Life Assurance Company of Columbus and American Family Life Assurance Company of New York. WWHQ |1932 Wynnton Road | Columbus, GA 31999. Z180939 Exp 8/19
Please confirm your submission. Click Back to make changes.